About
Services
Surgery Revenue Integrity
The operating room is the most clinically complex department and its impact on an organization’s bottom line makes it financially critical. Dynamics of a surgical encounter increase the risk of revenue loss from incomplete documentation, resulting in missed coding opportunities and lost charges.
Net Revenue’s Program was designed to tackle these challenges.
We provide a charge protocol review and documentation improvement
Clinical Audits are performed by our clinical team, who are actively employed as surgical nurses
Education for your entire staff to improve collaboration between your clinical and revenue cycle teams
Our billing team manages 100% of the re-billing of missed items and codes, driving cash to your bottom line
All findings and recommendations are shared with you to impact long-term change
Our team collaborates directly with your staff to implement our findings to ensure you realize the full value of our service
Emergency Room Revenue Integrity
The dynamics of the ER environment, coupled with EMR limitations and accessibility, contribute to incomplete documentation resulting in inaccurate coding and billing. Correcting these issues requires a coordinated audit function in conjunction with a professionally developed and consistently used leveling system.
Our services combine the financial, clinical, and coding expertise needed to produce a consistent and accurate billing methodology. Our ER Revenue Integrity services focus on the following:
Review current charge protocols and identify new revenue opportunities
Assist with the accurate use of E&M leveling tool and when necessary, develop an improved E&M leveling tool
Evaluate and enhance documentation to support charges and coding
Like our OR Revenue Integrity program, we also implement the following to drive cash and long-term impact for our clients.
Education for your entire staff to improve collaboration between your clinical and revenue cycle teams
Our billing team manages 100% of the re-billing of missed items and codes, driving cash to your bottom line
All findings and recommendations are shared with you to impact long-term change
Our team collaborates directly with your staff to implement our findings to ensure you realize the full value of our service
Our approach is broken down into a tree-step process that focuses on optimal results for our clients, with minimal support by you and your staff and a fee structure that is 100% contingency fee-based.
Missed Opportunities
The Hospital CEO and CFO Guide to
Recovering OR and ER Charges
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